STARTING STRONG FOR COMMUNITY HEALTH! WEBINAR Health Insurance Enrollment within the Criminal Justice System: Getting Started, Building Partnerships, and Maintaining Momentum August 27, 2015
Today’s Presenters: • Alicia Siani, Policy Analyst, EverThrive IL • asiani@everthriveil.org • Jennie Sutcliffe, Director, Juvenile Justice Initiative, Sargent Shriver National Center on Poverty Law • jenniesutcliffe@povertylaw.org
Up Check out HelpHub Check Help Hub announcements for latest enrollment and policy information, particularly related to Special Enrollment Periods http://helphub.povertylaw.org/
IPC Funding Opportunity Illinois Department of Public Health and \ and Get Covered Illinois Announce Open Application Process for 2016 In-Person Counselor (IPC) Program: For more information: https://getcovered.illinois.gov/en/news/Pages/IDPH- and-Get-Covered-Illinois-Announce-Open-Application- Process-for-2016-In-Person-Counselor-(IPC)- Program.aspx
Taxes must be completed by as soon as possible to remain eligible for Tax Credits in 2016 For more information, visit: http://www.irs.gov/Affordable-Care-Act
Countdown until Open Enrollment Open Enrollment key dates: Nov.1- January 31 We will be hosting a webinar in October focused on Open Enrollment 3, and cover topics including: Renewals Center for Budget and Policy Priorities Marketplace Comparison tool Updates from Get Covered Illinois Key resources for a successful Open Enrollment 3 Date of webinar will be announced shortly: http://everthriveil.org/resources/startin g-strong-webinars
Today’s Presenters: • Alicia Siani, Policy Analyst, EverThrive IL • asiani@everthriveil.org • Jennie Sutcliffe, Director, Juvenile Justice Initiative, Sargent Shriver National Center on Poverty Law • jenniesutcliffe@povertylaw.org
Education and Enrollment within the Criminal Justice System Getting Started, Building Partnerships and Maintaining Momentum
Outline Why It Matters 1. Getting Started 2. Finding Partners 3. Maintaining Momentum 4. Examples and Resources 5.
Why It Matters
Health Status of the Justice Population Only 1 in 10 of the individuals involved in the criminal justice system already have insurance Rates of inmates with mental health issues range from 56% at state prisons to 64% at county jails Justice-involved individuals disproportionally suffer from chronic diseases and disorders Hypertension Asthma Arthritis
Health Care Patterns Upon Re-Entry Returning citizens are more like to obtain episodic care that is not managed or coordinated More than 70% of recently released inmates utilized some sort of health services in the 10 months following release One study found that re-entering citizens used the ER an average of 3.6 times per person in the first year post release 44% of study participants used the ER within the first three months post-release
Health Care as a Cost Savings Tool Provision of healthcare is estimated to save criminal justice agencies a lot of money $1 of treatment provided will save $2.58 in criminal justice costs Example: Substance use treatment Access to substance use treatment will prevent escalation of other physical and mental conditions Example: Mental health treatment High recidivism rates for individuals with mental health diagnoses can be combated with continuous access to quality care
Getting Started
Research and Prep Build on current momentum Assess the landscape What organizations/services are doing this work? What state policies impact this work? Medicaid expansion Benefits covered Medicaid suspension vs termination Facility coordination Link with enrollment assister groups
Criminal Justice Intercepts Explore enrollment opportunities
Coalition Development Decide on an approach Within organization Coalition Work group Government lead task force Select leadership
Places to Look for Partnership
Ess Essent entia ial • Local, State and Federal Correctional Facility’s • HFS and DHS • Get Covered Illinois • Illinois Department of Corrections • County Jail Representatives • Probation and Parole • Reentry Councils, Family and Friends of the Incarcerated • Enrollment assister groups – IPA, Navigator, CAC, FQHCs • Social service providers (Threshold, TASC, etc) • Health or Outreach and Enrollment Coalitions • National Partners • Behavioral Health Departments
Nic ice e to H o Have • National Institute of Corrections • Judges • Drug Courts • Halfway Houses • National Criminal Justice Association • Social Workers • VA • Jailers Association • Community Mental Health Centers • Department of Juvenile Justice • City and/or County Offices (Mayor, Justice Commission Etc) • QHP’s Qualified Health Plans
Une Unexp xpec ected ed • Adult Education Council on Postsecondary Education • Fairness Campaign • Job Corps • University • Local Community College • Planned Parenthood • Family Planning • Local Health Care Providers
Maintaining Momentum
Seek out the Right Partners Identify your needs Target population(s) Race, gender, language, age, income, health care needs Service delivery Enrollment assistance, education, referral Service location (jail, probation offices, clinics) Delivery method (hands-on vs. education) Reporting and outcomes Outcome measures Data format, delivery and timelines
Identify Barriers and Resources Identify Existing Internal Resources Identify and Combat Barriers • Personnel • Policies, practices, cultural norms • Funding • Background checks • Equipment • Badging • Office Space • Parking and building access • Safety • Written agreements • Hours of operation
Assign the Right Tasks to the Right People/Partners • Target populations that fit a partner’s mission or grant requirements • Identify points of contact • Go to the leadership level • Develop and reiterate goals • Identify action items/give people something to do • Follow through & follow up
Resources and Examples
Best Practices Follow up cards Summits of Hope Behind the scenes coordination Enrollers in facilities Enrolling families during visiting hours Re-entry groups and classes Training for criminal justice personnel
National Institute of Corrections Offer a variety of webinars, policy briefs, and fact sheets on different issue areas around the ACA Enrollment Funding and budget Implementation Mental health Policy and legal http://nicic.gov/library/package/aca
Johns Hopkins Center for Mental Health Surveyed states and counties nationwide to develop a map of programs that are enrolling individuals in the justice system into Medicaid Blurb about each initiative includes information on Setting Point of screening Enrollment personnel Target population http://www.jhsph.edu/research/centers-and-institutes/center- for-mental-health-and-addiction-policy- research/research/economics-and-services-research/arnold- foundation-project-map/
Local Resources Shriver Center Health Team: http://www.povertylaw.org/advocacy/health Center for Health and Justice at TASC: http://www2.centerforhealthandjustice.org/ Get Covered Illinois: https://getcovered.illinois.gov/en
QUESTIONS? ASK QUESTIONS USING THE CHAT BOX FEATURE We will answer as many questions during the webinar as possible. A recorded copy of the webinar will be posted on EverThrive IL’s website in the coming days: http://everthriveil.org/resources/starting-strong- webinars For questions related to this and other Starting Strong webinars: asiani@everthriveil.org
A recorded copy of the webinar will be posted on EverThrive IL’s website in the coming days: http://everthriveil.org/resources/starting-strong- webinars Upcoming webinar topic: Open Enrollment Round 3 When: October webinar date to be announced Webinar announcement will be sent to your email, and all webinars will be posted to: http://everthriveil.org/resources/starting-strong- webinars For questions related to this and other Starting Strong webinars: asiani@everthriveil.org
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